
Therapeutic monoclonal antibodies can prevent severe disease in SARS-CoV-2 exposed individuals. However, currently circulating virus variants have evolved to gain significant resistance to nearly all neutralizing human immune system-derived therapeutic monoclonal antibodies that had previously been emergency-authorized for use in the clinic. Here, we describe the discovery of a panel of single-domain antibodies (VHHs) directed against the spike protein S2 subunit that broadly neutralize SARS-CoV-1 and −2 with unusually high potency. One of these VHHs tightly clamps the spike’s monomers at a highly conserved, quaternary epitope in the membrane proximal part of the trimeric Heptad Repeat 2 (HR2) coiled-coil, thereby locking the HR2 in its prefusion conformation. Low dose systemic administration of a VHH-human IgG1 Fc fusion prevented SARS-CoV-2 infection in two animal models. Pseudovirus escape selection experiments demonstrate that the very rare escape variants are rendered almost non-infectious. This VHH-based antibody with a highly potent mechanism of antiviral action forms the basis for a new class of pan-sarbecovirus neutralizing biologics, which are currently under development. In addition, the unique quaternary binding mode of the VHHs to the prefusion HR2 could be exploited for other class I fusion proteins.
mice, Science, Epitopes/immunology, SARS-COV-2, Antibodies, Viral, SARS-CoV-2/immunology, Article, REGION, Mice, Epitopes, SDG 3 - Good Health and Well-being, Medicine and Health Sciences, Humans, Animals, Antibodies, Viral/immunology, HR2, EXCHANGE, SITES, Science & Technology, SARS-CoV-2, Q, Biology and Life Sciences, Single-Domain Antibodies/immunology, COVID-19, AUTOPROC, Single-Domain Antibodies, Antibodies, Neutralizing/immunology, Antibodies, Neutralizing, COVID-19/immunology, Multidisciplinary Sciences, HEK293 Cells, Severe acute respiratory syndrome-related coronavirus, Spike Glycoprotein, Coronavirus, Science & Technology - Other Topics, Spike Glycoprotein, Coronavirus/immunology, Female, Severe acute respiratory syndrome-related coronavirus/immunology
mice, Science, Epitopes/immunology, SARS-COV-2, Antibodies, Viral, SARS-CoV-2/immunology, Article, REGION, Mice, Epitopes, SDG 3 - Good Health and Well-being, Medicine and Health Sciences, Humans, Animals, Antibodies, Viral/immunology, HR2, EXCHANGE, SITES, Science & Technology, SARS-CoV-2, Q, Biology and Life Sciences, Single-Domain Antibodies/immunology, COVID-19, AUTOPROC, Single-Domain Antibodies, Antibodies, Neutralizing/immunology, Antibodies, Neutralizing, COVID-19/immunology, Multidisciplinary Sciences, HEK293 Cells, Severe acute respiratory syndrome-related coronavirus, Spike Glycoprotein, Coronavirus, Science & Technology - Other Topics, Spike Glycoprotein, Coronavirus/immunology, Female, Severe acute respiratory syndrome-related coronavirus/immunology
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